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Appendix 14-IA 

APPLICATION FOR SETTING UP EOUs or UNITS IN SPECIAL ECONOMIC ZONE
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Note:  1.    Please see Para 4.1 to 4.3 of EOU Scheme Para 7.2 to 7.4 of SEZ Scheme.

2.    Please read the general instructions given in EOU/SEZ Scheme before filling this application and also some important guidelines given at the end of this application.

 

3    The application may be sent electronically or otherwise.  But the same will be treated as incomplete without its own permanent E-mail and will not be considered.


INDICATE WHETHER FOR
AUTOMATIC APPROVAL                        OR                      BOARD OF APPROVAL
----------------------------------------                        --                      ------------------------------------

 

The application should be submitted to the Development Commissioner of the concerned Special Economic Zone(for setting up EOUs/units in SEZ) in 3 copies alongwith a crossed Demand Draft of Rs. 5,000/- drawn in favour of the Pay & Accounts Officer, Ministry of Commerce & Industry, Department of Commerce, payable at the Central Bank of India, Udyog Bhavan, New Delhi. (NO FEE SHALL BE CHARGED FOR RENEWEL/ EXTENSION OF LOP/ BROAD BANDING ETC.)


For Official Use only

Application No.    _____________________

Date : ______________________________

Date__________Month____________Year __________


Details of Bank Draft

Amount Rs.        __________________

Draft No.         ___________________

Draft date        __________________

Drawn on          _________________

                  (Name of the Bank)

Payable at        __________________

I.    NAME AND ADDRESS OF THE 

      UNDERTAKING IN FULL (Block Letters)

      Name of the Applicant Firm         _________________________________

      Full Address                                 _________________________________

      (Regd.Office in case of limited     _________________________________

      companies & Head Office for       _________________________________

      others                                          _________________________________

      Pin Code                                     _________________________________

      Tel. No.                                       _________________________________

      Fax No.                                      _________________________________

      Permanent E-Mail Address        _________________________________

      Web-Site, if any                         _________________________________

      Passport No., if any                    _________________________________

      Name of Bank with Address & A/c No. _________________________________

      Digital Signature                       _________________________________

      Income Tax PAN                         _________________________________

II.   NATURE OF THE APPLICANT FIRM:

      [Please tick (√ ) the appropriate entry]

      Government Undertaking/Public Limited Company/Private Limited Company/

      Proprietor ship/Partnership/Others (please specify)

Note:-Copy of certificate of incorporation alongwith Article of Association and Memorandum in case of companies and partnership deed in case of partnership firms may please be attached.

III.  INDICATE WHETHER THIS PROPOSAL IS FOR

      [Please tick (√) the appropriate entry].

Establishment of a New Undertaking

-     Manufacturing     [    ]

-     Services              [    ]

Effecting Substantial Expansion

Manufacturing of New product

Conversion of  (i) existing DTA unit into EOU/SEZ

                   (ii) existing STP/EHTP to EOU/SEZ

 

(In case of conversion, please attach fact sheet as per Annexure)

 

IV.   (1)   Location of the proposed undertaking

            Full Address  __________________________ 

            Pin code        __________________________

 

(2)   ONLY FOR PROJECTS UNDER EOU SCHEME

(In case the unit is proposed to be located on leased premises, then lease should be obtained from Government or any undertaking / authority of Government. However in case lease is obtained from private parties, it shall have a validity period of five years from the date of LUT and the Development Commissioner shall satisfy himself of genuine nature of the lease.)

(a)   Please indicate if the proposed location is in a Centrally Notified Backward Area [Please tick (√) the appropriate entry].

No. ______________Yes_________________ if yes, indicate category

(b)            Indicate whether it is within 25 Kms from the periphery of the standard urban area limit of city having population above one million according to 1991 census.

Yes_____________ No. _________________

(c)   Is it located in an Industrial Area/Estate designated/set up prior to issuance of Notification No. 477(E) dated 25th July,1991.

Yes_____________No. _____________

(d)   If not, does it come under the category of non-polluting industries as notified by the Govt.

Yes ___________ No. _______________

V.    ITEM (S) OF MANUFACTURE/SERVICE: (Including By-product/Co-products)

      (If necessary, additional sheets may be attached)

Item(s) Description      Capacity(Unit =  )        Item Code(ITC   HS Code No.)                         
Not required for service unit)

________________        ________________        _______________________

________________        ________________        _______________________

________________        ________________        ________________________

 

VI.PRODUCTION (In case of more than one item, supplementary sheets may be used)

            Quantity (Unit __________)         (Value (In Rupees)
Not required for service unit)

1st year                ___________________     __________________

2nd year                ___________________     __________________

3rd year                ___________________     __________________

4th year                ___________________     __________________

5th year                ___________________     __________________

VII.  Indigenous Requirement:

        (Value in Rupees)

a)    Capital Goods                                  

b)    Raw material, components, consumables,
      packing material, fuel etc. during the
      period of 5 years

      TOTAL:                                                                ------------------------

                                                                                  ------------------------     

VIII. FOB VALUE OF EXPORTS

                                                                                                                 (1 $ = Rs.)

                                      Rupees (lakhs)                                               US $ (Thousand)

1st year

2nd year

3rd year

4th year

5th year

Total:

 

IX.   INVESTMENT:

                                          (RS. IN LAKHS)

(a)   Land  ________________________

(b)   Building ________________________

(c)   Plant and Machinery  ________________________

      (I)   Indigenous  ________________________

                                          (US $ Thousand)

      (ii)  Import CIF value ________________________

      (iii) Total (I) + ii)  ________________________

X.    WHETHER FOREIGN TECHNOLOGY AGREEMENT IS ENVISAGED

      (Please tick ( \/ ) the appropriate entry )

      Yes ____________              No_____________

      (I)   Name and Address of foreign collaborator ____________________

      (ii)  Terms of collaboration              (Rupees lakhs)
                                                             (Gross of Taxes)

      (a)   Lumpsum payment                     _____________________

      (b)   Design & Drawing fee                _____________________

      (c)   Payment to foreign technician   _____________________                                                  

      (d)   Royalty (on exports)                   ____________________%

      (e)   Royalty (on DTA sales if envisaged) ____________________

      (f)   Duration of agreement               ________________(No.of years)

XI.   EQUITY INCLUDING FOREIGN INVESTMENT

(i)

                                                $ Thousand)                   (Rs.lakhs)

      (a)   Authorized        ________________        ________________

      (b)   Subscribed        ________________        ________________

      (c)   Paid up Capital   ________________        ________________

Note: If it is an existing company, please give the break up of the existing and proposed capital structure

(ii)  Pattern of share holding in the paid-up capital  (Amount in Rupees)

                                             (Rs. in lakhs)          (US $ Thousand)

(a)   Foreign holding           _____________     ___________________

(b)   Non Resident Indian company / Individual holding

      (i)   Repatriable             _____________     ___________________

      (ii)  Non-repatriable         _____________     ___________________

(c)   Resident holding              _____________     ___________________

(d)   Total (a+b (i+ii)+c) equity   _____________     ___________________

(e)   (iii) External commercial Borrowing ______________ ____________________

      Foreign Exchange Balance sheet


    

1st  2nd 3rd   4th 5th Total (5 yrs) In Rs./In Th Total Lakhs  US$
XII. FOB value of exports in first five years              
XIII. Foreign Exchange outgo on              
(i) Import of machinery              
(ii) Import of raw
materials and components
             
(iii) Import of spares and consumables              
(iv) Repatriation of dividends and profits to foreign collaborators              
(v) Royalty              
(vi) Lump sum know-how fee              

(vii)

Design and drawing fee

             
(viiii) Payment of foreign technicians              
(ix) Payment on training of Indian technicians abroad              
Total                
(x) Commission on Export etc.              
(xi) Foreign Travel              
(xii) Amount of interest to be paid on external commercial borrowing/deferred payment credit (specify details)              
(xiii) Any other payments (specify details)              
  Total  (i)to(xiii)              
  Net Foreign Exchange earnings in five years              

XIV.  REJECTS(Only for EOU manufacturing units.)

      Generation of Rejects/Sub-standard __________ __________________

      finished goods                __________  ____________________

                                          (percentage of 5 yrs production)

      Goods (In case rejects are more                       (Qty.            (Unit =    )

      than 5% estimated percentage    __________________    ________________

      with justification may be given __________________    ________________

                                    Value (Rs. Lacs)

XV.   EMPLOYMENT

                                                (All figures in number)

                                                      Existing                     Proposed
                                                      --------------                    --------------

      a)    Supervisory       Men_______________           _______________

                                     Women_____________           _______________

      b)    Non-supervisory   Men_______________           _______________

                                      Women_____________           _______________

XVI.  NET FOREIGN EXCHANGE EARNING 

      Average NFE on FOB value of exports in    _________5 years   _________

XVII. MARKETING

      a)    Whether marketing tie-up/Buy-back     _______         ________
            envisaged/finalized(Attach documents,_______          ________
            if any)                                                    Yes                No

                                                                          G. C. A.    R. P. A.

      b)    Destination of exports (in percentage)_______   ________
                                                                         _______   ________

XVIII OTHER INFORMATION

      i)    Any special features of the project proposal    _________________
            which you want to highlight                              _________________

                        (please attach the project report, for new units)

                                                      _______________________

                                                      _______________________

                                                      _______________________

ii) (a)Whether the applicant has been issued any      _________________Industrial license or LOI/LOP under EOU/SEZ/    _________________STP/EHTP scheme if so, please __________________ give full particulars especially reference number,date of issue, items of manufacture and progress of implementation of each project.   

(b) Whether the applicant has submitted any       __________________  other application for LOI/LOP which is        ___________________   pending with the Board of Approvals.  If so, please give particulars like reference   number, name under which application made, items of manufacture etc.

iii)  Whether the applicant or any of the  _________________  partners/Directors who are also partners        _________________  /Directors of another company or its associate concerns are being proceeded against or have been debarred from getting any License/Letter of Intent/Letter of Permission under the Export and            Import (Control) Act. 1947/Foreign Trade (Development and Regulation) Act, 1992 / FEMACustom/Central Excise Act.

Place :_________              Signature of the Applicant ____________________

Date  :________                 Name in Block Letters  __________________

                                         Designation           ___________________

Official Seal/Stamp_________________Tel. No.              ___________________

                                    e-mail                ___________________

                                    Web-Site, if any      ___________________

                                    Full Residential Address_________________

                                   

UNDERTAKING

I/We hereby declare that the above statements are true and correct to the best of my/our knowledge and belief.  I/We will abide by any other condition, which may be stipulated by the concerned Development Commissioner.  I/We fully understand that any Permission Letter granted to me/us on the basis of the statement furnished is liable to cancellation or any other action that may be taken having regard to the circumstances of the case if it is found that any of the statements or facts therein are incorrect or false.  An affidavit duly sworn in support of the above information is enclosed.

Place:__________                    Signature of the Applicant ______________
Date:___________                    Name in Block Letters    ________________    Designation  ________________
Official                                    Full Official address   _______________________________
Seal/Stamp  ______________  Tel. No.                _________________
e-mail Address          _________________
Web-Site                ____________________
Full Residential address ________________
                                       __________________     
Tel. No                __________________

SOME IMPORTANT GUIDELINES    

1.    Additional Information may be furnished by existing domestic units seeking conversion into the EOU/SEZ Scheme as per annexure.

2.    Normally raw material tie-ups are not insisted upon but this may be necessary in cases, such as granite/marble/sandstone products where availability of raw materials is contingent upon Government leases etc.

3.    Normally lumpsum amount up to US $ 2 Million and 8% royalty (net of  taxes) as amended from time to time over a period of five years from the commencement of production is allowed as per the current EOU Scheme  on account of foreign technology agreement as per the norms of Department of Industrial Policy and Promotion.  In addition selling agency commission is permitted as per RBI norms.

4.    Cases involving high outgo of foreign exchange for capital goods and raw      materials, the Government prefers raising of funds through external commercial borrowings.


ANNEXURE 

PROFORMA TO BE FILLED IN BY THE EXISTING DTA UNITS SEEKING CONVERSION INTO THE EOU/SEZ SCHEME

    

a) Whether conversion of DTA Unit into the EOU/SEZ has been sought for the full existing capacity of the unit or the proposal is for partial conversion.(Please give details of the existing capacity etc.)  
b) Whether any expansion of the DTA unit proposed to be converted into EOU/SEZ has bee envisaged, if so the extent thereof.(Please give detailsof the existing capacity and the enhanced capacity etc).  
c) What  is the level of existing exports of the unit proposed to be converted into EOU/SEZ. (Please give details of export performance item-wise for a minimum of three previous years)  
d) Whether the DTA unit is already under obligation to export, under:
i)     Advance Licensing Scheme;
ii)    Import of machinery under EPCG scheme;
iii)   Any other Scheme. 
(Give all relevant details including total E.O. imposed, the E.O. discharged till date etc.)
 
e) Whether your unit is registered with the Customs or Excise authorities. (Please give details viz. Reg. No., date etc.)  
f) Are you agreeable to have your whole unit customs bonded as required under the EOU/SEZ scheme?  
g) Whether you are a merchant exporter or a manufacturer exporter.(Please give details)  
h) What is the age(year of manufacture)and residual life of items/ machinery already installed in your unit, whether they are imported or indigenous.(Please attach separate sheets giving item-wise details with value of the new CG as well as existing value of machinery presently installed).  

Date____________        Signature_____________  Name _______________________

Place __________                                Address of the Applicant